Active NPI
Kiersten Dyhrberg
- Acute Care Nurse Practitioner
- Scarborough, ME
National Provider Identifier
1447939772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- CNP231337
- Practice address
- 96 Campus Dr
Scarborough, ME 04074-7163 - Phone
- (207) 885-9905
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | CNP231337 | ME | Primary |
Addresses
Primary practice location
96 Campus Dr
Scarborough, ME 04074-7163
Mailing address
89 Middle Rd
Falmouth, ME 04105-1819
Phone (207) 310-4928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Mainehealth Mid Coast Hospital
- Mainehealth Stephens Hospital
- Memorial Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905
Interoperability endpoints
- kdyhrberg564787@direct.mmc.mainehealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Maternal & Fetal Medicine Physician
- Portland, ME
- NPI 1063726891
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1447939772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MIDDLE RD",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051819",
"telephone_number": "207-310-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYHRBERG",
"first_name": "KIERSTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "ME",
"license": "CNP231337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.